Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
TERRENCE C WADLEY
Active
Individual
TERRENCE C WADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L4791
TX
208D00000X
General Practice Physician
L4791
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154988301
—
TX
05
—
154988302
—
TX
05
—
154988304
—
TX
01
—
1861472029
TRICARE SOUTH
TX
01
—
8G1508
BC/BS PROVIDER NUMBER
TX
Enumeration date
01/21/2006
Last updated
02/17/2026
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